Low Pressure Event Form - Grab Samples

Epidemiologic Study of Health Effects Associated with Low Pressure Events in Drinking Water Distribution Systems

OMB: 0920-0960

IC ID: 204805

Information Collection (IC) Details

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Low Pressure Event Form - Grab Samples 0920-0960
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0960 LOW PRESSURE EVENT FORM P. LPE Form.docx Yes Yes Fillable Printable

Health Illness Prevention

09-20-01236 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62821

5 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 10 0 -10 0 20 0
Annual IC Time Burden (Hours) 8 0 -41 0 49 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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